Governor's Office Emergency Services
Hazardous Materials Spill Report

    DATE: 02/03/2023
    TIME: 1647
    RECEIVED BY:
    CONTROL#:
    Cal OES - 23-0944
    NRC -
1.a. PERSON NOTIFYING Cal OES:
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
Pace Analytical
1.b. PERSON REPORTING SPILL (If different from above):
1. NAME:2. AGENCY:3. PHONE#:4. Ext:5. PAG/CELL:
2. SUBSTANCE TYPE:
2. a. SUBSTANCE:b.QTY:>=<Amount Measurec. TYPE:d. OTHER:e. PIPELINEf. VESSEL
>= 300 Tons
1. Nitrate=13 PPM N/ACHEMICALNoNo
2. = NoNo
3. = NoNo
g. DESCRIPTION: Reporting Party states that samples from a well at Brock Mutual Water was tested, and exceeded the legal nitrate amount for California at 13 PPM.

*Well number and California System number in confidential section.
h. STOPPAGE/CONTAINMENT:i. WATER INVOLVED: j. WATERWAY:k. DRINKING WATER IMPACTED
OtherYesWell (drinking water)Yes
Detail for Other: Testing
l. MARITIME VESSEL
No
m. KNOWN IMPACT
None
3. a. INCIDENT LOCATION: 4700 District Blvd
b. CITY:c. COUNTY: d. ZIP:
Bakersfield
Kern County93313SAN JOAQUIN VALLEY UNIFIED APCD
4. INCIDENT DESCRIPTION:
a. DATE:b. TIME (Military):c. SITE:d. REPORTED CAUSE
02/03/20231317 Merchant/Business Unknown
e. INJURIESf. FATALITY g. EVACUATIONh. CLEANUP BY:
NoNoNoUnknown
6. NOTIFICATION INFORMATION:
a. ON SCENE:b. OTHER ON SCENE: c. OTHER NOTIFIED:
d. ADMIN. AGENCY: Bakersfield Fire Departmente. SEC. AGENCY: Kern Co. Environmental Health Services Department
f. ADDITIONAL COUNTY: g. ADMIN. AGENCY:
h. NOTIFICATION LIST:
Cal GEM:
RWQCB Unit:

5C
Cal OES Region:
AA/CUPA, DTSC, RWQCB, US EPA, USFWS, DFW-OSPR, CDPH-D.O., DWP-DO, LANDS, PARKS & REC, Co/WP, Co/Hlth, Co/E-Hlth
Photo Attachment:
11. Cal OES Reg.
********* Control No: 23-0944 *********

Created by: Warning Center on: 02/03/2023 04:47:22 PM Last Modified by: Warning Center on: 02/03/2023 05:07:47 PM